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Related Party Transactions - Additional Information (Detail) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017	Jun. 28, 2018	Dec. 31, 2017	Nov. 16, 2015	Sep. 30, 2015
Payment Made To Related Party	$ 0	$ 600,000	$ 500,000
Revenue from Related Parties		0
LMA [Member]
Equity Method Investment, Ownership Percentage	25.00%		25.00%
Revenue from Related Parties	$ 5,200,000	4,400,000	$ 9,900,000	$ 8,900,000
PMIOC [Member]
Equity Method Investment, Ownership Percentage	40.00%		40.00%
DMG [Member]
Equity Method Investment, Ownership Percentage	40.00%		40.00%
Payment Made To Related Party	$ 2,100,000	1,600,000	$ 3,700,000	3,000,000
Service [Member] | PMIOC [Member]
Payment Made To Related Party	800,000		1,200,000	1,100,000
Service [Member] | AMG, Inc [Member]
Payment Made To Related Party	1,200,000	500,000	1,900,000	1,300,000
Rob Mikitarian [Member] | Notes Receivable [Member]
Debt Instrument, Face Amount								$ 150,000
Debt Instrument, Interest Rate, Effective Percentage								3.00%
Accounts and Other Receivables, Net, Current	150,000		150,000			$ 150,000
Universal Care Inc [Member]
Accounts and Other Receivables, Net, Current							$ 5,000,000
Equity Method Investment, Ownership Percentage							48.90%
Advance Diagnostic Surgery Center [Member] | Service [Member]
Payment Made To Related Party	146,301	62,000	168,270	96,000
Medical Property Partners [Member] | Service [Member]
Payment Made To Related Party	300,000	300,000		600,000
Medical Investment Group LLC [Member]
Payment Made To Related Party	90,000	90,000	180,000	180,000
APC Shareholders [Member]
Payment Made To Related Party	11,600,000	10,100,000	20,800,000	22,900,000
Shareholders And Officers [Member]
Payment Made To Related Party	$ 3,900,000	$ 3,900,000	$ 6,100,000	$ 9,300,000
Universal Care Acquisition Partners, LLC [Member]
Accounts and Other Receivables, Net, Current					$ 2,500,000

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